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General NPI Number Information
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NPI Number | 1609681279
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Entity Type | Organization
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Legal Business Name | XCEL CARE MEDICAL GROUP CORP
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Dates
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Enumeration Date | 02/11/2025
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Last Update Date | 02/11/2025
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Provider Practice Location Address
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Address Line | 16404 COLIMA RD FL 1
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City | HACIENDA HEIGHTS
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State | CA
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Zip | 91745-5502
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Country | US
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Telephone | 626-581-7603
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Fax |
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Provider Business Mailing Address
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Address Line | 16404 COLIMA RD FL 1
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City | HACIENDA HEIGHTS
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State | CA
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Zip | 91745-5502
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Country | US
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Telephone | 626-581-7603
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Fax |
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Authorized Official
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Title or Position | CLAIMS MANAGER
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Name | MR. JAMES DON WANG
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Credential | MSBA
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Telephone | 626-536-7534
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number |
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License Number State |
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